MEDICARE: HAVASU NURSING CENTER 2 INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	NC1-355	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831121813
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAVASU NURSING CENTER 2 INC

Provider Business Mailing Address
First Line	:	PO BOX 1210
Second Line	:
City	:	SIKESTON
State	:	MO
Zip	:	63801-1210
Country	:	US
Telephone Number	:	573-471-1276
Fax Number	:	573-472-8504

Provider Business Practice Location Address
First Line	:	3576 KEARSAGE DR
Second Line	:
City	:	LAKE HAVASU CITY
State	:	AZ
Zip	:	86406-9115
Country	:	US
Telephone Number	:	928-453-1500
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	CLIFF SHIRRELL
Credential	:
Telephone Number	:	573-471-1276

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	08/31/2017

Similar Medicare Providers

1295094837 — MISS BRITTANY PREVALLET MA, CCC-SLP
Practice Location Address:

3576 KEARSAGE DR
LAKE HAVASU CITY, AZ
86406-9115

Practice Phone: 928-453-1500
Practice Fax:

1770026908 — TRAVIS LAYNE ASHLEY DPT
Practice Location Address:

1613 BOB DR
ROYSE CITY, TX
75189-9115

Practice Phone: 806-831-2309
Practice Fax:

1538632096 — MS. ELISE NICOLE BRUCE
Practice Location Address:

701 SCHOONER CT
MOSES LAKE, WA
98837-9115

Practice Phone: 509-855-1725
Practice Fax:

1063411981 — ANASAZI HEALTH CARE, INC.
Practice Location Address:

2781 OSBORN DR
LAKE HAVASU CITY, AZ
86406-8629

Practice Phone: 928-505-5552
Practice Fax: 928-505-2660

1346242427 — GLENN L NUDELMAN M.D.
Practice Location Address:

2191 CHIP DR
LAKE HAVASU CITY, AZ
86406-7645

Practice Phone: 928-486-4387
Practice Fax: 928-302-3515

1346238607 — MS. SHERRY KAYE MALM MA LPC
Practice Location Address:

474 HAGEN WAY
LAKE HAVASU CITY, AZ
86406-7537

Practice Phone: 928-855-4445
Practice Fax:

Directions to “HAVASU NURSING CENTER 2 INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.